ATI Proctored ( Med surg WITH 200
+ QUESTIONS}EXAM\\THUONELIS\\
EXAM 2024 WITH CORRECT AND
VERRIFIED ANSWERSBY THUO NELIS
,A nurse is collecting data from a client who has been admitted with suspected
appendicitis. Which of the following findings is the nurse's priority to report to the
provider?
a.) WBC count 15,000/mm3
b.) Loss of appetite.
c.) Rigid board like abdomen.
d.) Temperature of 37.8 c. - CORRECT ANSWERS-Answer: c.) Rigid board like
abdomen.
A nurse is collecting data from a female client during an initial health assessment.
Which of the following findings should the nurse identify as a risk fact for osteoporosis?
a.) Uses a beclomethason inhaler.
b.) Applies an estrogen vaginal cream daily.
c.) Walks 30 mins per day.
d.) Includes canned sardines in her diet. - CORRECT ANSWERS-Answer: b. Applies an
estrogen vaginal cream daily.
A nurse is collecting data from a client who began taking catopril 2 days ago. Which of
the following findings should the nurse report to the provider immediately?
a.) Dizziness.
b.) Joint aches.
c.) Metallic taste.
d.) Lip swelling. - CORRECT ANSWERS-Answer: d. lip swelling.
A nurse is caring for an older adult client who has heart failure. Which of the following
findings should the nurse report to the provider?
a.) Chest X-ray showing cardiomegaly.
b.) Potassium level 4.5 mEq/L.
c.) Urinary output of 1,000 mL in 12 hr.
d.) PaCO2 55 mmHg. - CORRECT ANSWERS-Answer: d. PaCo2 55 mmHg.
An assistive personnel checks the blood glucose level of a client who has diabetes
mellitus & reports a blood glucose level of 42 mm/dL to a nurse. Which of the following
actions should the nurse take first?
,a.) Validate when the client received the last dose a hypoglycemic medication.
b.) Check the client's blood pressure.
c.) Review the client's previous meal intake.
d.) Determine if the client is able to swallow. - CORRECT ANSWERS-Answer: d.
Determine if the client is able to swallow.
A nurse is caring for a client who is at risk for anaphylaxis due to bee stings. When
reinforcing teaching about the use of automatic epinephrine injection, Which of the
following actions is the priority.
a.) Have a client perform the return demonstration of the equipment.
b.) Instruct the client to store the injector at room temperature.
c.) Inform the client to seek medical attention following administration of the injection.
d.) Review the signs of anaphylaxis with the client. - CORRECT ANSWERS-Answer: a.
Have the client perform the return demonstration of the equipment.
A nurse is reinforcing discharge teaching with a client who has a new permanent
pacemaker. Which of the following statements by the client indicates an understanding
of the teaching? - CORRECT ANSWERS-"I should check my heart rate everyday".
A nurse in a long-term care facility is assigning tasks to assistive personnel. Which of
the following tasks should the nurse delegate to the AP?
a.) Taking a phone prescription rom a provider.
b.) Providing postmortem care.
c.) Determining a client's need for PRN pain medication.
d.) Instructing a client about the use of incentive spirometry. - CORRECT ANSWERS-
Answer: b. Providing postmortem care.
A nurse is collecting data from an older adult client who has cystitis. Which of the
following findings should the nurse anticipate?
a.) Orange-colored urine.
b.) Referred pain in the right shoulder.
c.) Confusion.
d.) Hypothermia. - CORRECT ANSWERS-Answer: c. Confusion.
A nurse is performing tracheostomy's care for a client who has a chronic tracheostomy.
Which of the following actions should the nurse take?
a.) Suction the client for 20 seconds with each pass.
b.) Allow space for one finger to be placed under the tube ties.
c.) Apply suction pressure while inserting the catheter into the trachea.
d.) Sanitize around the stoma with povidone iodine. - CORRECT ANSWERS-Answer: b.
allow space for one finger to be placed under the tube ties.
, A nurse is reinforcing teaching with a client who is scheduled for cardiac cauterization.
Which of the following should the nurse tell the client?
a.) Numbness in the fingertips.
b.) Feeling of heat.
c.) Urge to urinate.
d.) Pain in the jawline. - CORRECT ANSWERS-Answer: b. Feeling of heat.
A nurse is assisting in teaching a group of nurses about pain management for older
adult clients. Which of the following information should the nurse include in the
teaching?
a.) Reassess the effectiveness of pain relief measures every 3 hrs.
b.) Recognize that a cognitively impaired older adult client can identify the intensity of
pain.
c.) Withhold pain medication until the client reports a pain level of 6 or higher on a scale
from 0 to 10.
d.) Use non pharmacological measures as a substitute for pain medication. - CORRECT
ANSWERS-Answer: d. Use non-pharmacological measures as a substitute for pain
medication.
A nurse is receiving change of shift report for a client who had an open reduction
internal fixation of the right femur 8 hrs. ago. Which of the following information should
the nurse report to the provider?
a.) Tingling distal to the fracture.
b.) A temperature of 37.8 C.
c.) A capillary refill of 4 seconds.
d.) Sanguineous drainage of 30 mL in the surgical drain at the incisional site. -
CORRECT ANSWERS-Answer: b. A temperature of 37.8 C.
A nurse is reinforcing teaching with a client who has a new diagnosis of celiac disease a
prescription from a gluten-free diet. Which of the following food choices should the
nurse recommend in the teaching?
a.) Vegetable barley soup.
b.) Baked chicken with brown rice.
c.) Spaghetti made with wheat pasta.
d.) Corn beef on rye bread. - CORRECT ANSWERS-Answer: a. Vegetable barley soup.
A nurse is checking the laboratory result of a client who has a gastrointestinal bleed.
Which of the following findings should the nurse report to the provider?
a.) Hematocrit 21%.
b.) pH 7.35.
c.) Potassium 4.0 mL.
+ QUESTIONS}EXAM\\THUONELIS\\
EXAM 2024 WITH CORRECT AND
VERRIFIED ANSWERSBY THUO NELIS
,A nurse is collecting data from a client who has been admitted with suspected
appendicitis. Which of the following findings is the nurse's priority to report to the
provider?
a.) WBC count 15,000/mm3
b.) Loss of appetite.
c.) Rigid board like abdomen.
d.) Temperature of 37.8 c. - CORRECT ANSWERS-Answer: c.) Rigid board like
abdomen.
A nurse is collecting data from a female client during an initial health assessment.
Which of the following findings should the nurse identify as a risk fact for osteoporosis?
a.) Uses a beclomethason inhaler.
b.) Applies an estrogen vaginal cream daily.
c.) Walks 30 mins per day.
d.) Includes canned sardines in her diet. - CORRECT ANSWERS-Answer: b. Applies an
estrogen vaginal cream daily.
A nurse is collecting data from a client who began taking catopril 2 days ago. Which of
the following findings should the nurse report to the provider immediately?
a.) Dizziness.
b.) Joint aches.
c.) Metallic taste.
d.) Lip swelling. - CORRECT ANSWERS-Answer: d. lip swelling.
A nurse is caring for an older adult client who has heart failure. Which of the following
findings should the nurse report to the provider?
a.) Chest X-ray showing cardiomegaly.
b.) Potassium level 4.5 mEq/L.
c.) Urinary output of 1,000 mL in 12 hr.
d.) PaCO2 55 mmHg. - CORRECT ANSWERS-Answer: d. PaCo2 55 mmHg.
An assistive personnel checks the blood glucose level of a client who has diabetes
mellitus & reports a blood glucose level of 42 mm/dL to a nurse. Which of the following
actions should the nurse take first?
,a.) Validate when the client received the last dose a hypoglycemic medication.
b.) Check the client's blood pressure.
c.) Review the client's previous meal intake.
d.) Determine if the client is able to swallow. - CORRECT ANSWERS-Answer: d.
Determine if the client is able to swallow.
A nurse is caring for a client who is at risk for anaphylaxis due to bee stings. When
reinforcing teaching about the use of automatic epinephrine injection, Which of the
following actions is the priority.
a.) Have a client perform the return demonstration of the equipment.
b.) Instruct the client to store the injector at room temperature.
c.) Inform the client to seek medical attention following administration of the injection.
d.) Review the signs of anaphylaxis with the client. - CORRECT ANSWERS-Answer: a.
Have the client perform the return demonstration of the equipment.
A nurse is reinforcing discharge teaching with a client who has a new permanent
pacemaker. Which of the following statements by the client indicates an understanding
of the teaching? - CORRECT ANSWERS-"I should check my heart rate everyday".
A nurse in a long-term care facility is assigning tasks to assistive personnel. Which of
the following tasks should the nurse delegate to the AP?
a.) Taking a phone prescription rom a provider.
b.) Providing postmortem care.
c.) Determining a client's need for PRN pain medication.
d.) Instructing a client about the use of incentive spirometry. - CORRECT ANSWERS-
Answer: b. Providing postmortem care.
A nurse is collecting data from an older adult client who has cystitis. Which of the
following findings should the nurse anticipate?
a.) Orange-colored urine.
b.) Referred pain in the right shoulder.
c.) Confusion.
d.) Hypothermia. - CORRECT ANSWERS-Answer: c. Confusion.
A nurse is performing tracheostomy's care for a client who has a chronic tracheostomy.
Which of the following actions should the nurse take?
a.) Suction the client for 20 seconds with each pass.
b.) Allow space for one finger to be placed under the tube ties.
c.) Apply suction pressure while inserting the catheter into the trachea.
d.) Sanitize around the stoma with povidone iodine. - CORRECT ANSWERS-Answer: b.
allow space for one finger to be placed under the tube ties.
, A nurse is reinforcing teaching with a client who is scheduled for cardiac cauterization.
Which of the following should the nurse tell the client?
a.) Numbness in the fingertips.
b.) Feeling of heat.
c.) Urge to urinate.
d.) Pain in the jawline. - CORRECT ANSWERS-Answer: b. Feeling of heat.
A nurse is assisting in teaching a group of nurses about pain management for older
adult clients. Which of the following information should the nurse include in the
teaching?
a.) Reassess the effectiveness of pain relief measures every 3 hrs.
b.) Recognize that a cognitively impaired older adult client can identify the intensity of
pain.
c.) Withhold pain medication until the client reports a pain level of 6 or higher on a scale
from 0 to 10.
d.) Use non pharmacological measures as a substitute for pain medication. - CORRECT
ANSWERS-Answer: d. Use non-pharmacological measures as a substitute for pain
medication.
A nurse is receiving change of shift report for a client who had an open reduction
internal fixation of the right femur 8 hrs. ago. Which of the following information should
the nurse report to the provider?
a.) Tingling distal to the fracture.
b.) A temperature of 37.8 C.
c.) A capillary refill of 4 seconds.
d.) Sanguineous drainage of 30 mL in the surgical drain at the incisional site. -
CORRECT ANSWERS-Answer: b. A temperature of 37.8 C.
A nurse is reinforcing teaching with a client who has a new diagnosis of celiac disease a
prescription from a gluten-free diet. Which of the following food choices should the
nurse recommend in the teaching?
a.) Vegetable barley soup.
b.) Baked chicken with brown rice.
c.) Spaghetti made with wheat pasta.
d.) Corn beef on rye bread. - CORRECT ANSWERS-Answer: a. Vegetable barley soup.
A nurse is checking the laboratory result of a client who has a gastrointestinal bleed.
Which of the following findings should the nurse report to the provider?
a.) Hematocrit 21%.
b.) pH 7.35.
c.) Potassium 4.0 mL.
